Summary
Overview
Work History
Education
Skills
Timeline
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Sharonda Sapp

Lauderdale Lakes,FL

Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Efficient billing professional with 71/2 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Overview

8
8
years of professional experience

Work History

AR Billing Specialist(Team Lead/Manager)

CentralReach
08.2020 - Current
  • Responsible for patient inquires and payments, timely and accurate payment posting.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Filed and updated patient information and medical records.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Liaised between patients, insurance companies, and billing office.
  • Delivered timely and accurate charge submissions.
  • Adhered to established standards to safeguard patients' health information.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Used data entry skills to accurately document and input statements.
  • Audited and corrected billing and posting documents for accuracy.
  • Handled account payments and provided information regarding outstanding balances.
  • Maintained accurate records of customer payments.
  • Reconciled accounts receivable to general ledger.

Reimbursement Specialist

Butterfly Effects
12.2017 - 03.2020
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Employed clinical and billing codes expertise to correct billing inconsistencies.
  • Prevented delays and claim denials by correcting information prior to submission.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Trained department employees in proper billing and accounting procedures.
  • Created documents in accordance with payer guidelines and submitted to appropriate parties.
  • Monitored and documented accounts receivable trends and account-specific profitability.
  • Collaborated with customers to resolve disputes.
  • Handled account payments and provided information regarding outstanding balances.

Appeal Specialist

Infinity Behavioral Health Services
09.2015 - 04.2017
  • Generated, posted and attached information to claim files.
  • Checked documentation for accuracy and validity on updated systems.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Verified client information by analyzing existing evidence on file.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Coordinated with contracting department to resolve payer issues.

Education

High School Diploma -

SIATech Charter High School
Jacksonville, FL

Skills

  • Account Management
  • CPT Code Modifiers
  • Physician Interaction
  • Healthcare Terminology
  • Data Entry
  • Reviewing Patient Information
  • Medical Records Management
  • Medical Billing
  • Time Management
  • Billing Practices
  • Billing Codes
  • Standard Operating Procedures Understanding

Timeline

AR Billing Specialist(Team Lead/Manager)

CentralReach
08.2020 - Current

Reimbursement Specialist

Butterfly Effects
12.2017 - 03.2020

Appeal Specialist

Infinity Behavioral Health Services
09.2015 - 04.2017

High School Diploma -

SIATech Charter High School

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Sharonda Sapp